| NPI | 1164552642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVER CROMWELL JAMES President/ Owner 859-264-1815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine |
| 208100000X Physical Medicine & Rehabilitation | |
| 363A00000X Physician Assistant (Licence: KY PA817) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3006792) | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2024-01-19 |