| NPI | 1932538535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERAD E WIDMAN Owner 913-592-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: KS KS0430763) |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2013-11-04 |