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 |