NPI | 1013066513 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT BRUCE KENNEDY Doctor 501-219-1929 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AR 1398) |
Enumeration Date | 2007-01-10 |
Last Update Date | 2010-11-03 |