| NPI | 1134385230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY S CAMPBELL President 606-524-0966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: KY 1077883) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2010-02-01 |