| NPI | 1093172231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERINA GEISINGER Manager 816-718-2417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: KS 0105753) |
| Additional Taxonomies | 261Q00000X (Licence: MO 2015037185) |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2016-01-19 |