| NPI | 1912162959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KISHORE JADHAV President 606-658-2710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 33372) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 255P) |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2008-07-18 |