| NPI | 1841586831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY M WELCH Practice Manager 816-630-9411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2005027703) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2021-09-20 |