NPI | 1114962867 |
---|---|
Other Name | SOUTHERN KENTUCKY UROLOGY |
Entity Type | Organization |
Authorized Contact | CHUCK LOCKE Vice President 615-373-7604 |
Organization Subpart ? | No |
Primary Taxonomy | 208800000X Urology (Licence: IN 01046326A) |
Enumeration Date | 2006-06-17 |
Last Update Date | 2008-04-20 |