| NPI | 1093780454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGG A DELLETT Assistant Office Manager 316-263-7285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2020-08-22 |