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Search › Kansas › 208100000X

Sam Detwiler, MD, ATC

NPI 1871025767 · on the registry since 2017

Practice

Address
3901 Rainbow Blvd # Ms 2027
Kansas City, KS 66160
Phone
(913) 588-3974
Clinicians at this address
106

Additional practice sites

  • 3901 Rainbow Blvd # Ms 1046, Kansas City, KS

Registry record

Primary taxonomy
208100000X
208100000X
Also registered as
2255A2300X
Licence states on file
TX, KS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-06-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas