| NPI | 1063640589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY T SNIDER Owner 859-223-1963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: KY 30197) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 30197) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2020-09-19 |