| NPI | 1619314176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE A LYON CEO/Cno 913-956-2275 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2014-04-21 |