| NPI | 1609890557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNNE WOLFORD Office Manager 785-842-3778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2022-11-01 |