| NPI | 1003697731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY K PHILLIPS Manager 620-223-4141 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2023-10-09 |
| Last Update Date | 2023-10-09 |