| NPI | 1558318543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN ROBINSON Creditialing 270-259-5641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 208000000X Pediatrics |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2020-10-20 |