| NPI | 1104832872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY KAY GASPAROVIC Owner 816-632-5228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MO 795) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: KS 12000295) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2009-11-19 |