| NPI | 1811130602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA GARRISON KESTER Owner/Physician 417-877-0630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MO 36789) |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2009-04-13 |