| NPI | 1134264799 |
|---|---|
| Doing Business As | ROCKCASTLE CLINIC |
| Entity Type | Organization |
| Authorized Contact | BRANDY L. BULLOCK Director 606-256-7761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 25335) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 39587) |
| 207Q00000X Family Medicine (Licence: KY 64035884) | |
| 208000000X Pediatrics | |
| 363A00000X Physician Assistant (Licence: KY PA861) | |
| 363L00000X Nurse Practitioner (Licence: KY 4217P) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2010-06-22 |