NPI | 1982845889 |
---|---|
Doing Business As | WKY FAMILY HEALTHCARE |
Entity Type | Organization |
Authorized Contact | JEFFREY ALAN CARRICO Owner 270-251-3223 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2009-03-23 |
Last Update Date | 2024-09-17 |