| NPI | 1518297803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYN SHARRIE KEMMERER A RN P/ Administrator 913-449-9224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: KS 1354340071) |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2018-06-20 |