| NPI | 1497245427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY WARREN Compliance Officer 316-882-5353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207Q00000X Family Medicine | |
| 225100000X Physical Therapist | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2018-05-15 |