| NPI | 1427082338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAUFIK KASSIS President 606-768-9190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: KY 900200) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 36974) |
| 207R00000X Internal Medicine | |
| 261QP2300X Clinic/Center, Primary Care (Licence: KY 700182) | |
| 363L00000X Nurse Practitioner (Licence: KY 36974) | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2023-07-20 |