| NPI | 1336994508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANE HAGEN Nurse Practitioner/ Owner 816-447-6138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2024-04-23 |