| NPI | 1215139829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY JOYCE SHEARER Secretary 859-624-2290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY KY23451) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2020-08-22 |