| NPI | 1881619781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ANDERSON Supervisor 816-932-5626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: KS 44413) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-08-22 |