| NPI | 1932397494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA MATTHEWS Office Manager 913-782-2510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: KS 24833) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2007-10-31 |