| NPI | 1841621679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUVY JABEL Nurse Practitioner 620-624-2565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 18124) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 5376034072) |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 5345642) | |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2013-12-04 |