| NPI | 1770935041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAY B RICHARDSON Md / Owner 606-260-8345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: KY 34056) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2017-01-05 |