NPI | 1720164445 |
---|---|
Entity Type | Organization |
Authorized Contact | BRANDI LEMASTER COLLINS Physician Owner 606-789-8666 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 02931) |
Enumeration Date | 2006-10-27 |
Last Update Date | 2013-06-27 |