| NPI | 1073717286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAY STEPHENS Owner 859-626-9696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: KY 900186) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3002572) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2014-07-16 |