| NPI | 1073972170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEILA M MCKENZIE Owner 316-686-2106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: KS 12-00405) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-02-17 |