| NPI | 1992056295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA M HAYNES President 816-781-6655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MO 2004024626) |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2012-09-26 |