| NPI | 1275944589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUMMER TUCKER Family Physician 270-403-6280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY ky03404) |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2014-06-24 |