NPI | 1689717100 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN R EPLEE Owner 913-367-1623 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 0418237) |
363A00000X Physician Assistant (Licence: KS 1500590) | |
Enumeration Date | 2007-02-14 |
Last Update Date | 2010-05-26 |