| NPI | 1568614543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA LYNN GOOD Clinic Owner 605-546-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: KY 3568P) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2009-12-23 |