| NPI | 1932360930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK G BLACKWELL Chief Financial Officer 606-886-8511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207PE0004X Emergency Medicine Emergency Medical Services |
| 363L00000X Nurse Practitioner | |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2014-02-03 |