| NPI | 1477596484 |
|---|---|
| Doing Business As | NORTHRIDGE FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | KEN WASHINGTON VP 913-254-0918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2020-08-22 |