| NPI | 1003842501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY ERTEL Owner 859-744-0067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: KY 900132) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 35650) |
| 208000000X Pediatrics | |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2014-08-22 |