| NPI | 1699867101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVERETT B GEVEDON President 606-324-4222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: KY 24374) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2020-08-22 |