| NPI | 1457642225 |
|---|---|
| Doing Business As | KENTUCKIANA MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | JANICE PATTERSON Executive Director 270-495-9773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2011-04-27 |