NPI | 1205094083 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY E BARELLI President 785-273-8080 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: KS 04-25771) |
Enumeration Date | 2008-05-28 |
Last Update Date | 2023-03-07 |