| NPI | 1588831804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN ROBERT BAYES Owner 606-789-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 02934) |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2021-02-04 |