NPI | 1407044217 |
---|---|
Entity Type | Organization |
Authorized Contact | LARRY GRAY President/CEO 606-526-8131 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 5263P) |
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 | |
Enumeration Date | 2007-10-05 |
Last Update Date | 2014-09-25 |