| NPI | 1912316811 |
|---|---|
| Other Name | GREAT PLAINS DIABETES |
| Entity Type | Organization |
| Authorized Contact | RITA PEDIGO Office Manager 316-440-2802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: KS 74249) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2018-05-17 |