| NPI | 1902049356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN M PAGE' President Owner 606-864-0770 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA841) |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2009-04-15 |