| NPI | 1063450781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEDRA D. KRETZER Presicent, CEO 606-789-2424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 700135) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2020-08-22 |