| NPI | 1215314380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK DAVID POTTER President 785-639-1668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: KS 05-33528) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: KS 05-33528) |
| 208600000X Surgery (Licence: KS 05-33528) | |
| 208D00000X General Practice (Licence: KS 05-33528) | |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2022-06-12 |