NPI | 1396938635 |
---|---|
Entity Type | Organization |
Authorized Contact | JUDY LYNNE RHODES Office Manager 606-330-0300 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: KY 27464) |
Enumeration Date | 2007-08-21 |
Last Update Date | 2008-10-21 |