| NPI | 1174019293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA HALL Vice President For Student Affairs 316-978-3021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2021-10-04 |