| NPI | 1164610291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERRIE J KRAMER Office Manager 913-294-2305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 422796) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2023-03-07 |