| NPI | 1407044217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY GRAY President/CEO 606-526-8131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 5263P) |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care (Licence: KY 700214) |
| 207RG0100X Internal Medicine Gastroenterology | |
| 207RH0003X Internal Medicine Hematology & Oncology | |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| 207R00000X Internal Medicine | |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| 363A00000X Physician Assistant | |
| 2085R0202X Radiology Diagnostic Radiology | |
| 261QR1300X Clinic/Center Rural Health (Licence: KY 900027) | |
| 1041C0700X Social Worker Clinical | |
| 207X00000X Orthopaedic Surgery | |
| 208600000X Surgery | |
| 208800000X Urology | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2014-09-25 |