| 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 |