NPI | 1245830017 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES DALE DUNCAN Owner 859-744-8324 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2020-10-29 |
Last Update Date | 2023-05-16 |