| NPI | 1538119086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM C DENHAM Physician 606-564-9081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2015-11-25 |