| NPI | 1942235452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY EDUARD BAPTIST President And Medical Director 913-469-4043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 0435805) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: KS 0418338) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2014-12-09 |