| NPI | 1578871000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH DENISE ADAMS Owner 606-633-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 4075P) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 4075P) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: KY 4075P) | |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2015-05-19 |