| NPI | 1003809161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH SUE KING Corp Officer Owner Office Manager 620-431-0887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KS 0520120) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2025-09-11 |