| NPI | 1942540984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME A. DIXON President 270-465-8133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: KY 02320) |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2013-02-28 |