| NPI | 1871586149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA HAMILTON Executive Assistant 816-350-4536 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: KS S046022) |
| Additional Taxonomies | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2022-02-16 |