| NPI | 1467443457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PIYUSH D PATEL Administrator 606-678-8323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: KY KY20046) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: KY KY20046) |
| 363A00000X Physician Assistant | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2014-10-21 |