| NPI | 1851364178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONA RANE Owner 620-624-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: KS 0429812) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2007-11-14 |