| NPI | 1619934312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERLIN G KIRBY President 620-792-1227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2020-08-22 |