| NPI | 1083821748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS J SAALWACHTER Nurse Practitioner 270-926-2929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 167890) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |