| NPI | 1710180823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY PETER HALL Family Practice 785-364-4445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 0422190) |
| Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: KS 0422190) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2020-08-22 |