| NPI | 1144697152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLIE CHASTAIN Chief Financial Officer 620-662-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2015-08-25 |