| NPI | 1245586536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN A KING Principal 816-695-4929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO LC1242724) |
| Additional Taxonomies | 363AS0400X Physician Assistant Surgical |
| 364SM0705X Clinical Nurse Specialist Medical-Surgical | |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2012-09-14 |