NPI | 1386768604 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN MUELLER President,Physician 270-444-9199 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 37833) |
Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: KY 37833) |
Enumeration Date | 2007-03-19 |
Last Update Date | 2014-06-19 |