| NPI | 1174988836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM M SNAPP CFO 859-239-2424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 600053) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 600053) |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2017-10-31 |