| NPI | 1487874418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ESTILL REED President Medical Doctor 606-437-3456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 38929) |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2021-09-30 |