| NPI | 1215770375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA RANKIN A VP Revenue Cycle 859-344-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM |
| 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 | 2024-06-17 |