| NPI | 1295767556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY M ULRICH Office Manager 606-864-2179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2009-04-08 |