| NPI | 1821416454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA L STEPHENS Office Manager 606-789-4949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 26513) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: KY PA804) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2022-07-21 |