NPI | 1215168117 |
---|---|
Entity Type | Organization |
Authorized Contact | TERRANCE G. FURLOW Owner 859-276-5454 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: KY 21641) |
Enumeration Date | 2009-07-27 |
Last Update Date | 2009-07-27 |