| NPI | 1487687133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES NOAH EICKHOLZ Physician/President 270-441-4850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 32988) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2023-07-18 |