| NPI | 1285025395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL WESLEY LEWIS President 606-923-9280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2020-03-30 |