| NPI | 1114170610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUSAM HAMED President 859-759-0668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 207Q00000X Family Medicine | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2013-11-19 |