| NPI | 1720115009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE MILLER Office Manager 270-444-6274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 02740) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2010-05-04 |