Greater Kentucky Wellness Center LLC
NPI #1871871780 in Irvine, Kentucky
Provider Information
- NPI Number
- 1871871780
- Entity Type
- Organization
- Organization Name
- Greater Kentucky Wellness Center LLC
- Primary Specialty
- Clinic/Center - Pain
- Enumeration Date
- Jul 26, 2011
- Last Updated
- Jul 26, 2011
Practice Location
Authorized Official
- Name
- MR. JERRY WAYNE BURNHAM
- Title
- OWNER
- Phone
- (606) 717-1018
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Pain — Pain |
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