| NPI | 1831177955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BYRON BRADLEY ALBERTSON Physician 270-527-0045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 02826) |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2009-01-20 |