| NPI | 1588602981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLINE KIRKUS Billing Supervisor 913-451-2253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 04-23085) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2020-08-22 |