| NPI | 1295823698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMIR ISSA COOK President 606-677-2913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: KY 34871) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 4617P) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2013-06-18 |