Individual
DR. KEVIN RAY MINNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
806 SW BLUE PKWY, LEES SUMMIT, MO 64063-3805
(816) 272-1427
Mailing address
806 SW BLUE PKWY, LEES SUMMIT, MO 64063-3805
(816) 272-1427
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2012027753
MO
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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