| NPI | 1205106077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONG-PING LEE Doctor 785-233-6001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: KS KS0415590) |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2012-02-13 |