| NPI | 1881347276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE KAVANAUGH Credentialing Manager 913-339-9437 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2022-01-27 |