| NPI | 1528378551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA KAY KIRBY Medical Director 316-425-3729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 0430080) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KS 0104594) |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2010-10-08 |