| NPI | 1871706143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA KAY OBASEKI Practice Manager 812-254-2311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: IN 01027289) |
| Additional Taxonomies | 2081H0002X Physical Medicine & Rehabilitation, Hospice and Palliative Medicine (Licence: IN 01039780A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71000903A) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-22 |