| NPI | 1629500020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHEA AVONNE ROGERS Owner 316-685-1277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KS 0428905) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2017-04-03 |