| NPI | 1639232127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A BOND President 606-329-0977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine Geriatric Medicine |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-09-25 |