| NPI | 1558415869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA DANIEL Quality Measures Coordinator 606-889-6366 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 207RI0011X Internal Medicine, Interventional Cardiology | |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 208600000X Surgery | |
| 363A00000X Physician Assistant | |
| 363AM0700X Physician Assistant, Medical | |
| 363L00000X Nurse Practitioner | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2019-09-19 |