| NPI | 1467779033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE SPAULDING Business Manager, Cei 913-851-7780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2006009459) |
| Enumeration Date | 2010-04-22 |
| Last Update Date | 2024-05-16 |