| NPI | 1245284777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN J GLASS Physician/Owner 270-251-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 38858) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2020-08-22 |