| NPI | 1891069647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA LYNNE MCCUE Owner/Physician 620-326-0251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 0524781) |
| Enumeration Date | 2012-02-25 |
| Last Update Date | 2013-06-19 |