| NPI | 1992842942 |
|---|---|
| Doing Business As | WILSON MEDICAL CENTER PROFESSIONAL |
| Entity Type | Organization |
| Authorized Contact | LORI C SMITH CFO 620-325-8388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS H103002) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS H103002) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2024-09-25 |