| NPI | 1477930246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIANNA CORNETT Owner 606-233-1132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3008624) |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2016-05-02 |