| NPI | 1275373300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VISHAL PATEL Owner/Authorized Official 316-609-1418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2024-07-18 |