| NPI | 1013035419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORA SZTENDERA President 270-465-4841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: KY 26865) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2009-11-17 |