| NPI | 1104384213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA SWINEY Owner 859-340-4627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2020-09-27 |