| NPI | 1407886120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTA LONG Practice Administrator 316-685-0559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 225100000X Physical Therapist |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2021-07-01 |