| NPI | 1457591687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY L KELLAR Owner 501-305-9826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: AR C5148) |
| Enumeration Date | 2009-02-27 |
| Last Update Date | 2014-07-13 |