| NPI | 1588916126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUMMER MICHELLE KIRBY CEO 740-355-7102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2022-11-02 |