| NPI | 1801932355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARMISA TONGSON CULLENS CEO 816-941-0440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO R1J85) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 0422532) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |