| NPI | 1891777603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER REEVE Clinic Manager 785-539-3504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease |
| 207Y00000X Otolaryngology | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2025-08-12 |