NPI | 1043399249 |
---|---|
Entity Type | Organization |
Authorized Contact | KIM DUKE Patient Registration 270-239-9355 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 1920P) |
Enumeration Date | 2006-11-06 |
Last Update Date | 2020-08-22 |