| NPI | 1518127638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENNY J NOLEN CEO 270-827-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KY 3007612) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2018-12-06 |