| NPI | 1679678619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE R KAZEE Physician Partner 606-836-3196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2016-12-20 |