| NPI | 1558699439 |
|---|---|
| Doing Business As | OCTC-WKU HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | ANGEL THOMPSON Administrative Services Manager 270-686-7747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2009-12-03 |
| Last Update Date | 2009-12-03 |