NPI | 1912132853 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA K WILLIAMS President/Owner 270-737-1215 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 2666P) |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2009-05-21 |
Last Update Date | 2023-08-02 |