| NPI | 1043736135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD H LLOYD President/CEO 606-783-6502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363A00000X Physician Assistant (Licence: KY PA417) | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2024-12-05 |