| NPI | 1700961836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE S. GREEN Sonographer 270-442-1166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 261QA0005X Clinic/Center Ambulatory Family Planning Facility (Licence: KY 1046053) |
| 261QA0005X Clinic/Center Ambulatory Family Planning Facility | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2015-05-29 |