| NPI | 1417919283 |
|---|---|
| Doing Business As | CREEKWOOD FAMILY CARE |
| Entity Type | Organization |
| Authorized Contact | CARRIE JORDAN Chief Practice Executive 913-945-5592 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2018-06-13 |