| NPI | 1710115175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEL JONES VP Revenue Cycle & Business Service 606-877-3918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Additional Taxonomies | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology |
| 207RI0011X Internal Medicine Interventional Cardiology | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2010-02-25 |