| NPI | 1386752756 |
|---|---|
| Doing Business As | HEART SPECIALISTS OF SE KY PSC |
| Entity Type | Organization |
| Authorized Contact | JANIE RENEE OKUMA Office Manager 606-523-9010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: KY 29557) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: KY PA249) |
| 363L00000X Nurse Practitioner (Licence: KY 4069P) | |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2008-06-30 |