| NPI | 1457370678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY BARTON CEO 270-575-2101 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: KY 700071) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2010-09-23 |