| NPI | 1538286091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN MCINTOSH Medical Director 913-233-1911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 0428352) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |