| NPI | 1164916862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS COVINGTON Member Manager 859-254-5701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: KY 02403) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2018-10-04 |