| NPI | 1053305136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM A OLIVER Administrator 785-827-9631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: KS SA 534785) |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2010-09-02 |