| NPI | 1306699814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY STEWART Executive Advisor 913-744-1177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2024-09-17 |