| NPI | 1285701763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD J EDWARDS Owner 785-783-4571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: KS 04-28283) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2011-04-15 |