| NPI | 1134427958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT B COUTNR President 270-683-6848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: KY 25509) |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2011-03-02 |