| NPI | 1134920580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA STARKS Billing Manager 913-544-3122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine | |
| 2080P0206X Pediatrics, Pediatric Gastroenterology | |
| Enumeration Date | 2025-03-21 |
| Last Update Date | 2025-03-21 |