| NPI | 1083098016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE C BARBERY Administrator 859-344-2062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: OH 0087AS) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2017-02-16 |