| NPI | 1831804764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANTELL DEBENHAM Owner/Provider 785-576-9990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2023-02-02 |