| NPI | 1942466784 |
|---|---|
| Doing Business As | BIRK GROVE LIFE CENTRE |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ROMMELMAN Business Manager 270-415-9575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 4806P) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 1672) |
| 225100000X Physical Therapist (Licence: KY 003235) | |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2008-11-11 |