| NPI | 1003251802 |
|---|---|
| Doing Business As | INDEPENDENCE FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | LORI C SMITH CFO 620-325-8388 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2024-09-25 |