| NPI | 1508440868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA LYNN HAINES First Assistant/Owner 785-259-4694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2021-05-11 |