| NPI | 1164476339 |
|---|---|
| Former Legal Business Name | KANSAS CITY VASCULAR, P.C. |
| Entity Type | Organization |
| Authorized Contact | ANNETTE SMALL Chief Executive Officer 816-872-1601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2016-03-10 |