| NPI | 1013194075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY L KINGSFORD Office Manager 316-283-6655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: KS 04-32830) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2008-01-22 |