| NPI | 1861875684 |
|---|---|
| Doing Business As | GOLDEN VALLEY MEDICAL |
| Entity Type | Organization |
| Authorized Contact | KYLE D ADKINS Administrator 660-885-8171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2014022519) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2015-06-30 |