| NPI | 1023091600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J. ZOELLER Physician/Owner 270-765-4535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 26429) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| 363AM0700X Physician Assistant, Medical | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2022-11-17 |