| NPI | 1235996471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKILYN NICHOLE BARR Physician Owner 620-365-0925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2024-03-04 |