| NPI | 1396796991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN M HERNANDEZ Practice Manager 316-686-7117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: KS 19204) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: KS 74898) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: KS 44906) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2021-10-01 |