| NPI | 1417276791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWNELE D TAYLOR Provider/Owner 316-393-5256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: KS 1375628121) |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2024-10-15 |