| NPI | 1093371312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL C FORD Authorized Offical 859-291-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2026-02-25 |