| NPI | 1871695668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET K GILLILAND Administrator 913-829-4001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: KS S046024) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2020-08-22 |