| NPI | 1427489921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY CONNETT Director Of Finance 606-833-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2019-05-20 |