| NPI | 1861613598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOGAN R BENNING Business Manager 316-712-9234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 0428027) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2024-04-29 |