| NPI | 1073541785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN M. TAYLOR Owner 859-264-0660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: KY 24656) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363L00000X Nurse Practitioner (Licence: KY 3002492) | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2022-07-14 |