| NPI | 1518214253 |
|---|---|
| Doing Business As | ADVANCED FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | DODIE L KIRKENDOLL Owner 270-316-1063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3005707) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2014-01-29 |