| NPI | 1346967841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA POWELL Ap RN 316-587-5337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2022-12-10 |