| NPI | 1619971082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L GRANTHAM Administrator 913-588-8403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: KS S-046-011) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2009-06-25 |