| NPI | 1437905692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID KIMANI Owner 913-334-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2024-04-29 |