| NPI | 1972792695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE DUKE Office Manager 270-846-3811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 20451) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2010-11-08 |