| NPI | 1700098415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY MAGATHAN Coordinator 620-274-4280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 1326921-032) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |