| NPI | 1639858467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAUFIK KASSIS Owner/Physician 606-768-9190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2023-07-18 |
| Last Update Date | 2024-02-19 |