| NPI | 1356567192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EARNESTINE KENNEDY Owner 816-923-1114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MO 038468) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2008-06-25 |