| NPI | 1790036564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM L SCHAUM President 740-434-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 49247) |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2013-05-08 |