| NPI | 1487184040 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JILL KATHLEEN GROUNDS Owner/Provider 816-582-1103  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology | 
| Additional Taxonomies | 207R00000X Internal Medicine | 
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| Enumeration Date | 2017-06-15 | 
| Last Update Date | 2017-06-20 |