| NPI | 1114041035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL LYNN WEST Owner 785-478-9625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: KS 44473) |
| Enumeration Date | 2007-03-17 |
| Last Update Date | 2008-09-16 |