NPI | 1194741017 |
---|---|
Entity Type | Organization |
Authorized Contact | ANN S GILES Administrator Owner 859-219-2828 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 18482) |
Additional Taxonomies | 207R00000X Internal Medicine |
363LF0000X Nurse Practitioner, Family | |
363L00000X Nurse Practitioner | |
363LW0102X Nurse Practitioner, Women's Health | |
Enumeration Date | 2006-07-14 |
Last Update Date | 2013-10-10 |