| NPI | 1619056769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA KELLEY Director Physician Practice Oper 816-404-8197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2018-10-28 |