| NPI | 1477995413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY GEORGE Executive Director 913-291-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: KS 07070894) |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2024-04-03 |