| NPI | 1285901397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN KEVIN KNOWLES Physician/Owner 660-258-3363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: MO R9F17) |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2011-11-18 |