NPI | 1003929001 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER BRULL Owner/President 785-434-2622 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 04-28262) |
Enumeration Date | 2006-08-16 |
Last Update Date | 2010-06-15 |