| NPI | 1902198914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY A BYARS Nurse Practitioner 270-753-6838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3147P) |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2011-05-09 |