| NPI | 1053382788 |
|---|---|
| Doing Business As | ASTHMA AND ALLERGY CENTER |
| Entity Type | Organization |
| Authorized Contact | DJIEN H SO Administrator 606-432-0174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: KY 17816) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3001627) |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2024-09-13 |