| NPI | 1306862057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY W. PATRICK Office Manager 606-439-6503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 28914) |
| Additional Taxonomies | 208VP0000X Pain Medicine Pain Medicine (Licence: KY 28914) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2020-08-22 |