NPI | 1881659951 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES W MIDDLETON President 270-524-7231 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: KY 900144) |
Additional Taxonomies | 207Q00000X Family Medicine |
208000000X Pediatrics | |
208100000X Physical Medicine & Rehabilitation | |
Enumeration Date | 2006-04-20 |
Last Update Date | 2021-01-29 |