| NPI | 1053316596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN E REESOR CEO 859-977-2120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2014-12-17 |