| NPI | 1295746360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY V HAZELETT Managing Partner 606-432-4494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: KY 02303) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: KY 22584) |
| 363A00000X Physician Assistant (Licence: KY pa295) | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2013-12-09 |