| NPI | 1730611757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES HAGER CEO 606-218-6011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 02889) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2017-03-29 |