| NPI | 1114079555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN H. LACY President 859-236-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2017-05-31 |