| NPI | 1235460007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN M QUINN Owner 913-492-3443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: KS 421809) |
| Additional Taxonomies | 174400000X Specialist (Licence: MO R5C63) |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2010-03-05 |