| NPI | 1053490698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT LEROY COSENS Physician/Owner 620-231-8003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: KS 22856) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2009-05-15 |