| NPI | 1205214681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA THOMAS Whnp 913-626-4909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CO RXN.0101280-NP) |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2015-05-18 |