| NPI | 1184955023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE S ORENDER Owner/Physician 620-231-3132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 0529686) |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2011-02-22 |