| NPI | 1275653909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD GUY FRAGGE President Of Corporation 859-371-3797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: KY 30879) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: KY 12274) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 12274) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2015-02-26 |