| NPI | 1205340494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL YUMANG President Owner 606-887-1352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: KY 1000633) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2018-04-18 |