| NPI | 1629142443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE A BALAKLAW President 606-638-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: KY 29892) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2012-03-16 |