| NPI | 1508109299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY WIKOFF Executive Director 785-452-6152 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2020-03-13 |