| NPI | 1043625460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY DAVIS KOBLER Owner 816-569-6577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MO 2012008307) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2014-06-24 |