| NPI | 1922443480 |
|---|---|
| Doing Business As | ETOWN FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | GWEN THOMAS Ap RN 270-900-0192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 3007643) |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care (Licence: KY KY3007643) |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2014-12-02 |