| NPI | 1619219581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA SNODGRASS President 270-929-5578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3002620) |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2023-04-17 |