| NPI | 1861536781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA SUE NALL Owner 606-679-8696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: KY 21433) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-08-22 |