| NPI | 1255788725 |
|---|---|
| Doing Business As | HYDEN FAMILY CARE |
| Entity Type | Organization |
| Authorized Contact | MELISSA CALLAHAN Officer/Authorized Representative 606-672-1978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: KY PA1086) |
| Enumeration Date | 2016-05-15 |
| Last Update Date | 2022-10-19 |