| NPI | 1003953977 |
|---|---|
| Doing Business As | WYANDOTTE-LEAVENWORTH AAA |
| Entity Type | Organization |
| Authorized Contact | ROBERT S MARTIN Billing Agent 620-442-4811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2008-07-01 |