| NPI | 1861413932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARL GUNNERSON Nurse 785-350-3111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WG0100X Registered Nurse, Gastroenterology (Licence: KS 13-41631-111) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2008-06-23 |