| NPI | 1922443779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUKE STANKER Owner 913-962-1190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: KS 01-05195) |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2013-05-07 |