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 |