| NPI | 1518235563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMAD HAKAM ALNAHHAS Medical Director 606-248-7778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 29890) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 29890) |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2012-04-04 |