| NPI | 1902242761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D SEITZ Owner 620-442-7752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: KS 6399) |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2013-05-20 |