| NPI | 1427137538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY BERNHARDT Provider 913-541-1131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: KS 18701) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-08-22 |