| NPI | 1730402645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMAD K AL-AHDAB President 316-440-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: KS 04-32074) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: KS 44567) |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2021-03-19 |