| NPI | 1497829261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINUS C OHAEBOSIM Owner President 316-681-1901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 0516911) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2011-12-21 |