| NPI | 1730547167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PREM PARMAR Medical Director 913-351-3005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: KS 04-28802) |
| Enumeration Date | 2016-01-30 |
| Last Update Date | 2016-01-30 |