| NPI | 1962550020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY A CAMPBELL President 812-288-2488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01036153A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71001741A) |
| 207Q00000X Family Medicine (Licence: KY 23424) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3003535) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2014-10-06 |