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 |