Organization
WICHITA REHABILITATION MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKE C VEENIS M.D. (OWNER)
(316) 755-0144
Entity
Organization
Contact information
Practice address
3515 W CENTRAL AVE, WICHITA, KS 67203-4921
(316) 755-0144
(844) 274-1204
Mailing address
3515 W CENTRAL AVE, WICHITA, KS 67203-4921
(316) 755-0144
(844) 274-1204
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200360940A
—
KS
01
—
DD4755
RR MEDICARE
—
Enumeration date
08/19/2006
Last updated
04/11/2022
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