| NPI | 1841364932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN EDITH BUCKLES Office Manager 816-279-4882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2000172096) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207Q00000X Family Medicine (Licence: KS 05-32172) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2011-09-30 |