| NPI | 1265748818 |
|---|---|
| Doing Business As | REJUVE MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | JODY JOHNSON Owner/Partner 859-353-5570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3528P) |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2010-12-20 |