| NPI | 1043746555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORINNA CAROL DOYLE Nurse Administrator 913-485-4383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2018-06-20 |