| NPI | 1114929411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON K WETTERBERG Business Office Manager 913-334-8935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: KS S046014) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2010-02-01 |