| NPI | 1215532759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP ANDREW WILLIFORD Chief Medical Administrative Office 859-439-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2020-12-02 |