| NPI | 1568342913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN DAVIS Business Manager 785-341-4569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2025-09-05 |
| Last Update Date | 2025-09-26 |