| NPI | 1205101458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEL JONES President 859-313-1713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional | |
| 104100000X Social Worker | |
| 207QA0000X Family Medicine Adolescent Medicine | |
| 207QA0505X Family Medicine Adult Medicine | |
| 207R00000X Internal Medicine | |
| 207RA0000X Internal Medicine Adolescent Medicine | |
| 2081H0002X Physical Medicine & Rehabilitation Hospice and Palliative Medicine | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2025-08-14 |