Individual
KURT M STORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
444 FOUR STATES DR, STE 1, GALENA, KS 66379-4325
(620) 783-4441
(620) 783-4090
Mailing address
PO BOX 2546, JOPLIN, MO 64803-2546
(620) 783-4441
(620) 783-4090
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1104038
KS
Other
Enumeration date
12/15/2009
Last updated
12/29/2011
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