| NPI | 1063766012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA FIELDS Co Owner 606-672-1144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3006479) |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2012-10-30 |