| NPI | 1801120498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN M DAVIS President 606-248-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 5516p) |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2009-09-29 |