| NPI | 1215124888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY HODGES Manager 913-888-0777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: KS 0413053) |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2007-09-27 |