| NPI | 1952423691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA ISHMAEL Chief Operating Officer 606-759-0073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: KY 730123) |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology (Licence: KY 730123) |
| 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: KY 730122) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2009-04-28 |