| NPI | 1326078064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY M NELSON Medical Director 270-443-0885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 02797) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2007-10-09 |