| NPI | 1447635826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELLE VIEYRA Office Manager 620-259-6399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: KS 01-05713) |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2022-12-06 |