| NPI | 1295713568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DAVIDSON COO 620-669-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: KS S-078-003) |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2015-04-27 |