| NPI | 1346388576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLEY M GILLASPY Practice Manager 812-522-1613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 50000714A) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2013-06-25 |