| NPI | 1316377500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA GARNER Owner 913-953-0347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 04-33114) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: KS 04-33114) |
| Enumeration Date | 2013-11-25 |
| Last Update Date | 2018-10-15 |