| NPI | 1861449621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY COLLINS Practice Administrator 816-322-0701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2007-10-26 |