| NPI | 1154512978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFRED GILGORE Physician/President 913-888-1133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: KS 15547) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2007-08-27 |