| NPI | 1215936240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN B KELLY President 859-341-3412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: KY 1096049) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2011-01-06 |