| NPI | 1508392564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA DURLAND Owner 785-393-5171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: KS 04-30061) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 46154) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |