| NPI | 1912302175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE SUTTON Owner 316-708-2846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: KS KS0434347) |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2014-10-30 |