| NPI | 1659444917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACIE L BREDFELDT Insurance Clerk 785-825-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: KS 1200240) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2008-05-16 |