| NPI | 1699850263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEL BROWN Director Of Finance 270-538-5866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207RN0300X Internal Medicine, Nephrology | |
| 208000000X Pediatrics | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2018-06-08 |