| NPI | 1053539874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE KISNER Practice Administrator 816-523-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: MO 118396) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |