| NPI | 1154430775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MICHAEL GORDON President 859-624-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 176B00000X Midwife | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics | |
| 207VG0400X Obstetrics & Gynecology, Gynecology | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2014-09-30 |