| NPI | 1053387589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A KINGREY Md 316-263-6273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: KS S087002) |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2011-11-17 |