| NPI | 1639242613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN R. CANLAS President 270-826-0002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: KY 18731) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: KY 38601) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2010-01-07 |