| NPI | 1700037041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ANTHONY HOLDER Owner 270-926-0234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: KY 22716) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: KY PA819) |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2010-02-24 |