NPI | 1215770375 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIA RANKIN A VP Revenue Cycle 859-344-5555 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM |
207Q00000X Family Medicine | |
207QG0300X Family Medicine Geriatric Medicine | |
207R00000X Internal Medicine | |
207RG0100X Internal Medicine Gastroenterology | |
207RS0010X Internal Medicine Sports Medicine | |
208000000X Pediatrics | |
2080S0010X Pediatrics Sports Medicine | |
2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
363LF0000X Nurse Practitioner Family | |
Enumeration Date | 2024-06-17 |
Last Update Date | 2025-06-10 |