| NPI | 1700091220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL L CUMMINGS Owner Operator 606-387-6627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 23083) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2015-03-16 |