| NPI | 1144524463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY L CLARKSON Owner 620-450-6202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: KS 0431770) |
| Enumeration Date | 2010-12-29 |
| Last Update Date | 2010-12-29 |