| NPI | 1588093744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZ A SHEPHERD Director Of Medical Billing 785-215-8777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: KS 04-25185) |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2013-11-07 |