| 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 |