| NPI | 1073928495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN P. CUNNINGHAM Owner 913-599-2228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0008X Dentist, Oral and Maxillofacial Radiology (Licence: KS BL13-00155) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2014-06-24 |