| NPI | 1790809234 |
|---|---|
| Doing Business As | CSFA OF KC |
| Entity Type | Organization |
| Authorized Contact | TYRONE M TAYLOR Owner 816-522-7899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical |
| Additional Taxonomies | 246ZS0410X Specialist/Technologist, Other Surgical Technologist |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2011-09-15 |