| NPI | 1992171813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZ A SHEPHERD Director Of Medical Billing 785-215-8777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 45427) |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2015-08-14 |