Dr. SAM ALLEN DETWILER MD, ATC
Individual Provider (NPI-1)
Active
Physical Medicine & Rehabilitation
Provider Information
- NPI Number
1871025767- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD, ATC
- Status
- Active
Contact & Location
- Address
- 3901 RAINBOW BLVD # MS 2027, KANSAS CITY, KS, 661600006
- Phone
- (913) 588-3974
Specialties & Taxonomies
Specialist/Technologist, Athletic Trainer
License: TX #AT8023
Physical Medicine & Rehabilitation
Primary License: KS #94-11926
All Addresses
MAILING
3901 RAINBOW BLVD # MS 1046
KANSAS CITY, KS, 661608500