| NPI | 1144295882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM G DEVINE Executive Director 270-827-0353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology Critical Care Medicine (Licence: KY 35368) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2008-04-20 |