| NPI | 1275074882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM PAQUETTE Owner 785-587-8989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2017-03-15 |