| NPI | 1831283324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY L RICHARDSON Director 913-383-8346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: KS S046012) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2008-06-17 |