| NPI | 1003593401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD DAMMEL Owner 859-242-5909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology |
| 111N00000X Chiropractor | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 207R00000X Internal Medicine | |
| 208D00000X General Practice | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2023-06-28 |
| Last Update Date | 2023-12-06 |