| NPI | 1871534248 |
|---|---|
| Doing Business As | THEO J FELTS, MD |
| Entity Type | Organization |
| Authorized Contact | THEO J FELTS Sole Member LLC 913-322-8859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 04-26778) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2010-08-04 |