| NPI | 1902271489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY SUZANNE JIMENEZ Family Nurse Practitioner 785-842-5070 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: KS 53-76993-042) |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2015-12-09 |