| NPI | 1376324152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE SPARKS Director Of Physician Revenue Cycle 913-694-5956 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208000000X Pediatrics | |
| Enumeration Date | 2023-10-09 |
| Last Update Date | 2023-10-09 |