| NPI | 1922016492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA NICHOLS Practice Administrator 316-219-8299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2017-04-03 |