| NPI | 1083828404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHESTER RAY DAVIS Physician President Secretary Treas 785-232-7324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 04 16732) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |