| NPI | 1255531380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE LAURA WIDNELL Manager 316-712-4061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KS 0432414) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2007-07-18 |