| NPI | 1548447964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHI H. VAN President 316-630-8478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: KS 12-00347) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2008-01-28 |