| NPI | 1033609862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER WILLIAMS Nurse Practitioner 859-575-7305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: KY 3010394) |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2019-02-28 |