| NPI | 1982568754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY FRANCES FARRELL Owner 913-424-3068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| Enumeration Date | 2025-12-15 |
| Last Update Date | 2026-03-12 |