| NPI | 1770249237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSIKA RICHARDSON-COOKS Director Of Operations 316-806-0176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 225100000X Physical Therapist | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2022-01-21 |