| NPI | 1053301788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD E PAULUS President 606-324-4743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: KY PA682) |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2008-01-22 |