| NPI | 1104765940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY K PHILLIPS Manager 620-223-4141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2026-03-26 |
| Last Update Date | 2026-03-26 |