| NPI | 1841594892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL N SHAW Owner/President 316-640-6253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 15-00115) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 15-00115) |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2011-09-30 |