| NPI | 1316969884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN A HANSEN CEO 913-319-7303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 111706) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MO 103093) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2014-10-23 |