NPI | 1124011697 |
---|---|
Entity Type | Organization |
Authorized Contact | FRANKLEN KEMAL BELHASEN President 606-789-8749 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 4848P) |
Enumeration Date | 2005-08-30 |
Last Update Date | 2010-08-19 |