| NPI | 1124084488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACH HARRIS CEO 606-835-9333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: KY 900167) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 291U00000X Clinical Medical Laboratory | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2023-12-05 |