| NPI | 1487877429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI G APPLEGATE Physician 812-948-2776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: IN 1040811) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-09-06 |