| NPI | 1629488820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH MICHAEL LAWHORN President 501-255-6697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 16696) |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2022-11-29 |