| NPI | 1275072357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE BROCK-BAKER Business Administrator 316-962-2239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS TMP-154257) |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2017-02-22 |