| NPI | 1730232182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOIN HANA Owner 606-349-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 207Q00000X Family Medicine | |
| 207QA0401X Family Medicine Addiction Medicine | |
| 261QR1300X Clinic/Center Rural Health (Licence: KY 900192) | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2024-01-02 |