| NPI | 1306185798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOVIE A. STALLWORTH M.D. 606-242-2077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 40788) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 40788) |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2013-03-13 |