| NPI | 1578681631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KLAS DANIEL MILLER President 620-222-6250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KS 4048492) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-01-20 |