NPI | 1275933129 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL VANHOOSE Administrator 859-559-0804 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: KY 36483) |
Enumeration Date | 2014-08-28 |
Last Update Date | 2015-09-16 |