| NPI | 1982759627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY L. MILLS Pres. & CEO 502-863-9987 |
| Organization Subpart ? | |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: KY 3833) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |