| NPI | 1639311038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLEN ALLEN FITZNER President 316-943-3208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: KS 003191) |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2009-03-31 |