| NPI | 1023358058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN MICHAELS Practice Manager 859-257-0537 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: KY 3728) |
| Additional Taxonomies | 282NC2000X General Acute Care Hospital Children (Licence: KY 3728) |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2013-02-28 |