| NPI | 1629694005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE P STOKES President 606-344-9834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2020-07-16 |