NPI | 1356723951 |
---|---|
Doing Business As | WALNUT HILL ELEMENTARY HEALTHY KIDS CLINIC |
Entity Type | Organization |
Authorized Contact | ERIC E LOY CEO 270-864-1472 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: KY 700172) |
Enumeration Date | 2015-06-19 |
Last Update Date | 2016-09-21 |