| NPI | 1639346844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISHA R GLENDENING Owner 270-388-0620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 1910p) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-05-19 |