| NPI | 1922249903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA L KNOLL Physician 785-625-3026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: KS 05-29277) |
| Enumeration Date | 2009-03-20 |
| Last Update Date | 2021-02-22 |