| NPI | 1477965721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ABERNATHY Director 816-932-7940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2014010579) |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2014-05-21 |