| NPI | 1356649552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA L THANEL Administrator 316-682-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 04-27664) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: KS 15-01433) |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 46183) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 46056) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: KS 46255) | |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2014-12-01 |