| NPI | 1629151972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH R. ALLEN President 270-781-4043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| 363LF0000X Nurse Practitioner, Family | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2009-02-18 |