| NPI | 1912353988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD STEWART Manager 913-231-5766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: KS 0437649) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-06-30 |