| NPI | 1588986707 |
|---|---|
| Doing Business As | SAINT JOSEPH PRIMARY CARE ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | KANDI R REA Credentialing Specialist 606-330-3404 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2010-08-04 |