Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEVIN RAY MINNICK, DPT
Active Sole ProprietorPhysical Medicine & Rehabilitation · LEES SUMMIT, MO
Registration Details
- NPI Number
- 1881183630
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 8, 2018 (7.9966466400348 yrs)
- Last Updated
- May 8, 2018
- License
-
2012027753 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
806 SW BLUE PKWYLEES SUMMIT, MO, 640633805Browse MO providers · Browse ZIP 64063
- Phone
- 8162721427
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
Other Physical Medicine & Rehabilitation Providers in LEES SUMMIT, MO
| Name | Credential | NPI |
|---|---|---|
| DR. TERRENCE PRATT | MD | 1104845585 |
| MR. JORDAN JAMES MCSWEENEY | DPT | 1902336860 |
| HANNAH ROSE BOWERS | PT, DPT | 1790310126 |
| JENNIFER BRUCKNER | — | 1427779172 |
| BRYNN EICKHOFF | — | 1780379156 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.