| NPI | 1194801621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY B DAUGHERTY Co Owner 913-825-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2008-04-20 |