| NPI | 1417502733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELLE WHITE CEO 606-637-7848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2019-08-04 |
| Last Update Date | 2024-05-04 |