| NPI | 1134320492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA DAWN SHADOWEN Owner, President 270-746-0440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: KY 26582) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2008-02-01 |