| NPI | 1740248772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHUCK O. CHAMBERS Administrator 913-469-0503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| 207N00000X Dermatology | |
| 207Y00000X Otolaryngology | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 208800000X Urology | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 208600000X Surgery | |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2010-03-26 |