| NPI | 1902182686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW WAYNE WASHBURN Owner 316-390-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2011-10-26 |