NPI | 1932237211 |
---|---|
Doing Business As | CAVE RUN CLINIC |
Entity Type | Organization |
Authorized Contact | SHARLET N KIDD Manager/Credentialing 606-784-9142 |
Organization Subpart ? | No |
Primary Taxonomy | 208800000X Urology (Licence: KY 24696) |
Additional Taxonomies | 208800000X Urology (Licence: KY 39293) |
Enumeration Date | 2007-03-01 |
Last Update Date | 2023-02-08 |