| NPI | 1871641043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONJA WEBB Owner 606-874-0009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 37114) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 34099) |
| 208000000X Pediatrics (Licence: KY 34099) | |
| 363L00000X Nurse Practitioner (Licence: KY 2285P) | |
| 363A00000X Physician Assistant (Licence: KY PA781) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3251P) | |
| Enumeration Date | 2007-01-06 |
| Last Update Date | 2014-11-18 |