| NPI | 1912495896 |
|---|---|
| Doing Business As | BLUE RIVER FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MELISSA WESTCOTT CEO 785-776-2584 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS H075004) |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2023-08-17 |