| NPI | 1306162284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH BENTLEY Office M Anager 270-465-7505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 5850P) |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2010-04-16 |