| NPI | 1215196001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD E BLAIR Owner 606-784-8124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: KY 14767) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2008-11-07 |