| NPI | 1881898161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRYL SERPAN Associate Administrator 620-669-2612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2011-07-14 |