| NPI | 1275042350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA WOODWORTH Managing Member 913-787-3728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: KS 75953) |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2023-08-08 |