| NPI | 1447295852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL A KNIERY President 270-846-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 363LP2300X Nurse Practitioner Primary Care | |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2019-07-10 |