| NPI | 1790007466 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | COREY MATTHEW PRIEST Partner 913-906-7788  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 0428042)  | 
| Additional Taxonomies | 111NI0900X Chiropractor, Internist (Licence: KS 0105063)  | 
| 175F00000X Naturopath (Licence: KS 2100009)  | |
| Enumeration Date | 2010-02-23 | 
| Last Update Date | 2010-02-23 |