| NPI | 1275125593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY KAYLA KENT Owner/Authorized Official 859-200-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2021-02-08 |