| NPI | 1477625390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN PATTERSON Administrator 620-231-9072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: KS S019001) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2011-11-17 |