| NPI | 1134183056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANDY LYNN BURNS Practice Administator 785-273-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: KS S089007) |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2020-08-22 |