| NPI | 1609994789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MATTHEWS Owner, Provider 270-274-9222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 2835P) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |