| NPI | 1700297959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY G CROSS Owner 606-387-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 208600000X Surgery (Licence: KY 33185) | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2016-10-28 |