| NPI | 1215449590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI RIDDELL Assoc Dean Finance Admin 859-323-5935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2021-11-07 |