| NPI | 1568870038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODIE A HAWLEY Member 270-843-6781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: KY 1093908) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KY 4859) |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2014-07-29 |