| NPI | 1518303593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LLOYD ANDREW MANCHIKES Medical Director 606-584-8842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2013-05-16 |