| NPI | 1841570298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY B VAN DYKE Interim CEO 785-688-3695 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS H-082-001) |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2025-06-25 |