| NPI | 1265592232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIA MONTOYA Owner 316-618-0035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 0429228) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: KS 15-00731) |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 45218) | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2023-02-03 |