| NPI | 1861939498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN DEAN Office Manager 606-248-7778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: KY 1127738) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2017-01-20 |