| NPI | 1447405865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA GOOD Owner 606-546-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 40244) |
| Enumeration Date | 2008-11-26 |
| Last Update Date | 2011-04-05 |