| NPI | 1376688614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA K SCHULDHEISZ Owner 606-679-0179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: KY 31007) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: KY 31007) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2016-10-22 |