| NPI | 1205401577 |
|---|---|
| Doing Business As | THE CLINIC AT NEWPORT DRUG CENTER |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER BUSH Owner 859-620-5935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2021-05-20 |