| NPI | 1326440637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY BRACKETT President 606-788-1035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: KY 14390) |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2014-09-17 |