| NPI | 1801325659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVERETT GEREME BENNETT Nurse Practitioner 913-963-6618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 04-23015) |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2017-06-06 |