| NPI | 1760408975 |
|---|---|
| Doing Business As | PROFESSIONAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE ANNE RUSSELL Director 620-235-7926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 207V00000X Obstetrics & Gynecology | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 133V00000X Dietitian, Registered | |
| 207L00000X Anesthesiology | |
| 207P00000X Emergency Medicine | |
| 208600000X Surgery | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| 363L00000X Nurse Practitioner | |
| 363LX0106X Nurse Practitioner, Occupational Health | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2023-10-11 |