| NPI | 1063777316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY SUSAN MOBLEY Vice President 859-260-4122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism |
| 363L00000X Nurse Practitioner | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2012-07-30 |