| NPI | 1487683512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA A SHIELDS Biller 785-364-3701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KS 6062814) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2020-08-22 |