| NPI | 1447395090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI K MILLER Office Manager 606-833-8640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 5061) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |