| NPI | 1346494671 |
|---|---|
| Doing Business As | METHODIST FAMILY MEDICINE LETCHER STREET |
| Entity Type | Organization |
| Authorized Contact | BENNY J NOLEN CEO 270-827-7501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2019-08-19 |