| NPI | 1558525477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLY M MEYLOR-SCOTT Owner/President 913-393-1303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: KS 5170) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2021-07-22 |