| NPI | 1538615190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEELA SANDAL Director 785-979-2257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: KS 04-38374) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |