| NPI | 1710951116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANDI R REA Credentialing Specialist 606-330-7808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 2080A0000X Pediatrics, Adolescent Medicine | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 208600000X Surgery (Licence: KY 40293) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| 208M00000X Hospitalist | |
| 207X00000X Orthopaedic Surgery | |
| 363LF0000X Nurse Practitioner, Family | |
| 363AS0400X Physician Assistant, Surgical | |
| 261QR1300X Clinic/Center, Rural Health | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2011-06-13 |