| NPI | 1639143712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEWIS AARON RYAN Executive Director 316-293-2620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208000000X Pediatrics | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2023-04-04 |