| NPI | 1275850372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY J. MILLS Owner/Nurse Practitioner 812-378-4511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IN 71000882A) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: IN 01024487) |
| 261QP2300X Clinic/Center, Primary Care (Licence: IN 01024444) | |
| 261QP2300X Clinic/Center, Primary Care (Licence: IN 71000808A) | |
| 261QP2300X Clinic/Center, Primary Care (Licence: IN 71000212A) | |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2010-04-28 |