| NPI | 1992197867 |
|---|---|
| Doing Business As | CONVENIENT CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | NADINE BROCK Member/Np 606-330-1717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3005556) |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2015-03-02 |