| NPI | 1205927910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALED A SALEH Owner/Physician 606-219-5972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: KY 36456) |
| Additional Taxonomies | 174400000X Specialist |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2011-07-06 |