| NPI | 1306290879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY WARREN Owner/Authorized Official 316-882-5353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 111N00000X Chiropractor |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2016-04-20 |