| NPI | 1962518498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN E LANKTON Office Manager 270-443-6472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-09-19 |