| NPI | 1437141850 |
|---|---|
| Doing Business As | JOHNSON CITY MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | KATHY LENAY WYER A RN P 620-492-1595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 45751) |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2008-06-24 |