| NPI | 1417066135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANN ICE Administrator 785-843-5160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: KS S023003) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-10-30 |