| NPI | 1447257662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN L BAEKE Medical Director 913-685-0101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: KS S046020) |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2020-08-22 |