| NPI | 1003883307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY A GEIL Clinical Nurse Specialist 620-276-1787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 13051247-061) |
| Enumeration Date | 2006-03-06 |
| Last Update Date | 2020-08-22 |