| NPI | 1902928898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS R FAULKNER President 606-679-7353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: KY 23151) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 1358P) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 5888P) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2009-03-12 |