Individual ProviderKathleen Ann ProbascoPhysical Medicine & RehabilitationAllopathic & Osteopathic PhysiciansPractice Address4440 Broadway St, Kansas City, MO 64111(816) 960-4788PECOS EnrollmentBased on the most recent information from CMS, provider Kathleen Ann Probasco does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1437317450Provider TypeIndividualFull NameProbasco, Kathleen AnnTitleMrs.CredentialPTGenderFemaleSole ProprietorNoEnumeration Date5/27/2008Last Updated5/27/2008Contact InformationPractice LocationPractice Address4440 Broadway St, Kansas City, MO 64111Phone(816) 960-4788Fax(816) 561-0110Mailing LocationMailing Address4440 Broadway St, Kansas City, MO 64111Phone(816) 960-4788Fax(816) 561-0110Provider TaxonomiesCodeDescriptionLicenseCode208100000XPrimaryDescriptionPhysical Medicine & RehabilitationAllopathic & Osteopathic PhysiciansLicense2001001901Missouri