| NPI | 1760564199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMILLE ALETHA RUSSELL MCKESEY Ob Gyn Owner 316-320-0501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KS 0430298) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2008-08-25 |