| NPI | 1639504095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN ALLEN Executive Manager 785-783-8785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X (Licence: KS 200607680a) |
| Additional Taxonomies | 251C00000X |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2013-09-04 |