| NPI | 1780837062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL K KRESTIK Physician/Owner 606-862-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 5140P) |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2008-10-30 |