| NPI | 1447430731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ANDREW MCCLEEREY Owner 270-234-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: KY 41138) |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2008-06-11 |