| NPI | 1659616126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER PELFREY Owner 160-666-9771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY KY31272) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3006711) |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2012-12-10 |