| NPI | 1437738804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNEST KAARA MAINA Owner/Provider 417-317-3388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 261QP2300X Clinic/Center Primary Care | |
| 261QU0200X Clinic/Center Urgent Care | |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2021-04-22 |