| NPI | 1578564480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES W BUTRICK Director 913-307-0044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: KS 22411) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2012-09-25 |