NPI | 1629441431 |
---|---|
Doing Business As | PRIMARY CARE AT HOME OF KENTUCKY |
Entity Type | Organization |
Authorized Contact | DONALD D. STELLY President 337-233-1307 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Enumeration Date | 2015-11-03 |
Last Update Date | 2016-08-16 |