| NPI | 1205087327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGG K ARENA President 606-877-5277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2011-06-27 |