| NPI | 1164554119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY DAVIES Owner 816-495-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 110983) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2025-07-28 |