| NPI | 1629508296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL W. STANLEY C.E.O. 606-526-9005 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2024-06-28 |