| NPI | 1144725979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT SKINNER Comember 859-396-3038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 111N00000X Chiropractor | |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2020-04-07 |