| NPI | 1083727994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON W BRAME Management 270-554-5114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KY 5134) |
| 207T00000X Neurological Surgery (Licence: KY 36051) | |
| 225100000X Physical Therapist (Licence: KY 002302) | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2021-09-16 |