| NPI | 1437260585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY JEAN BECK Office Manager 270-843-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: KY 22553) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-12-19 |