| NPI | 1861869760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEVI TRAVIS SMITH Family Medicine 606-207-1296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: KY 00507508) |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2015-08-26 |