| NPI | 1841636735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES FORTNEY President 270-781-6477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261QX0100X Clinic/Center, Occupational Medicine (Licence: KY 740244) |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2016-06-01 |