| NPI | 1386799757 |
|---|---|
| Doing Business As | FORT LOGAN WALK-IN & PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | AMANDA KINMAN CFO 859-239-2424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 900145) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2021-12-30 |