| NPI | 1932391976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSEY B. PHILPOT Owner 606-878-1181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3007337) |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2024-08-20 |