| NPI | 1396940599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUGH M. SIMS President 270-782-7768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: KY 30304) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 2955P) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2010-02-12 |