| NPI | 1063801363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ROBERT WRIGHT Owner 859-384-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: KY 4771) |
| Enumeration Date | 2015-01-10 |
| Last Update Date | 2015-01-10 |