| NPI | 1538187711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA THIEM Owner 816-297-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 138659) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2008-06-25 |