| NPI | 1477609865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIL THORNBURY CEO 270-651-4159 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 208D00000X General Practice | |
| 213E00000X Podiatrist | |
| 231H00000X Audiologist | |
| 261Q00000X Clinic/Center | |
| 363A00000X Physician Assistant | |
| 363AM0700X Physician Assistant, Medical | |
| 363AS0400X Physician Assistant, Surgical | |
| 363L00000X Nurse Practitioner | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LC1500X Nurse Practitioner, Community Health | |
| 363LF0000X Nurse Practitioner, Family | |
| 364S00000X Clinical Nurse Specialist | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2025-06-02 |