| NPI | 1780841007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT T. WESLEY Md 270-586-1969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KY 3006580) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2013-03-20 |