| NPI | 1124217765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL A CONRAD President 606-759-4852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: KY 35183) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: KY 0478) |
| 237700000X Hearing Instrument Specialist (Licence: KY 0946) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 6223P) | |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2013-06-13 |