| NPI | 1245900794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM WATTS President & CEO 859-255-0075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 207R00000X Internal Medicine | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2024-04-03 |