NPI | 1588138820 |
---|---|
Doing Business As | SUMMIT FAMILY & SPORTS MEDICINE CLINIC |
Entity Type | Organization |
Authorized Contact | SCOTT H KUENNEN President 816-842-4440 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2019-01-21 |
Last Update Date | 2022-10-25 |