NPI | 1700919487 |
---|---|
Entity Type | Organization |
Authorized Contact | RUTH ANNE COMBS President 606-878-1219 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: KY 25618) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3529P) |
363LF0000X Nurse Practitioner, Family (Licence: KY 3008495) | |
Enumeration Date | 2007-03-13 |
Last Update Date | 2018-02-02 |