NPI | 1003369216 |
---|---|
Doing Business As | ICAN |
Entity Type | Organization |
Authorized Contact | KENDALL E. HANSEN Owner 859-957-0700 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2016-07-25 |
Last Update Date | 2022-04-21 |