| NPI | 1184825101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY K. CATRON Owner 606-387-0675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 38599) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 38599) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2010-07-19 |