| NPI | 1750722880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD WARREN BRINKMAN Owner 270-782-8866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: KY 38409) |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2013-08-15 |