| NPI | 1992173678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY SCHRAG Office Manager 620-672-7422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KS 53-75691-081) |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2015-09-11 |