| NPI | 1760585988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY RICHARDSON Office Manager 270-769-5963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 207VG0400X Obstetrics & Gynecology Gynecology | |
| 207VX0000X Obstetrics & Gynecology Obstetrics | |
| 363L00000X Nurse Practitioner (Licence: KY 5052P) | |
| 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: KY 1802M) | |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2010-06-16 |