| NPI | 1447473392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OPAL R BOONE Practice Manager 270-259-9316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VH0002X Obstetrics & Gynecology, Hospice and Palliative Medicine (Licence: KY KY23893) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |