| NPI | 1003164872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY RENAE CUNNINGHAM President 620-325-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 05-31846) |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2012-09-17 |