| NPI | 1225159759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL THOMAS NANK Co Cowner 316-831-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KS 6165302) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2008-03-26 |