| NPI | 1336328723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA KAY STONE Office Assistant 270-827-8662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 15950) |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2009-06-15 |