| NPI | 1952652190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA HILDYARD Administrator 785-462-3332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 04-15836) |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2012-09-27 |