| NPI | 1225754757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA ANN SWISHER Vice President Clinical Operations 316-644-2373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2024-03-25 |