| NPI | 1164614368 |
|---|---|
| Former Legal Business Name | IMC FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | NEVA ALLEN Director Of Operations 502-366-7720 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 34540) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2008-06-30 |