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Contact Information

COOK REHABILITATION MEDICINE LLC
8338 W 13TH ST N
MEDICAL DIRECTOR
WICHITA, KS67212-2900
 Phone: 402-432-9512
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for COOK REHABILITATION MEDICINE LLC

NPI Number 1104295393
LBN Legal business name COOK REHABILITATION MEDICINE LLC
Authorized official JUDE COOK - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/17/2015
Last updated 09/17/2015 - About 11 years ago
Identifiers
KS License # 04-38402
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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