| NPI | 1982737961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN E WITTMER Owner/President 270-825-8345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 34849) |
| Additional Taxonomies | 171100000X Acupuncturist |
| 1744R1102X Specialist, Research Study | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 5766P) | |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2013-04-24 |