NPI | 1851521611 |
---|---|
Entity Type | Organization |
Authorized Contact | BRENT COSENS Physician/Owner 620-231-8003 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 05-22856) |
Enumeration Date | 2009-07-15 |
Last Update Date | 2009-07-16 |