| NPI | 1538361118 |
|---|---|
| Other Name | UROLOGY ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | HERSCHEL SWAN JACKSON President 270-753-9240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: KY 15974) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 5519P) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2010-12-21 |