| NPI | 1427072925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON FUNK CEO 620-663-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: KS S078004) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-08-22 |