| NPI | 1649206319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH MIKULICH Director Of Credentialing 913-392-2246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine |
| 207Q00000X Family Medicine | |
| 207RI0200X Internal Medicine Infectious Disease | |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| 207RS0012X Internal Medicine Sleep Medicine | |
| 207X00000X Orthopaedic Surgery | |
| 207YX0901X Otolaryngology Otology & Neurotology | |
| 208200000X Plastic Surgery | |
| 208600000X Surgery | |
| 213ES0103X Podiatrist Foot & Ankle Surgery | |
| 231H00000X Audiologist | |
| 235Z00000X Speech-Language Pathologist | |
| 2471C3401X Radiologic Technologist Computed Tomography | |
| 207Y00000X Otolaryngology | |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2025-08-01 |