Organization
SERC REHABILITATION PARTNERS, LLC
Active
Other names
SERC
Organization subpart
No
Provider details
NPI number
Authorized official
KILEY RUSSELL (MANAGER)
(423) 238-7217
Entity
Organization
Contact information
Practice address
2001 N STATE ROUTE 7 STE B, PLEASANT HILL, MO 64080-8005
(816) 987-7122
(816) 565-4233
Mailing address
17134 BEL RAY PL, BELTON, MO 64012-5331
(816) 524-5130
(816) 524-6115
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
03/04/2013
Last updated
09/04/2013
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