| NPI | 1609064468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA E WILLIAMS Owner 606-886-0805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: KY 2675P) |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2008-03-17 |