| NPI | 1821001132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAMPAS S NOLAN Owner 606-248-5151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4312P) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2007-11-05 |