| NPI | 1255504700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY TRAVIS SMITH CEO 606-627-3895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2024-08-02 |