NPI | 1285685974 |
---|---|
Entity Type | Organization |
Authorized Contact | TONY G. SUDDUTH CFO 859-226-7000 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 207Q00000X Family Medicine |
2084P0800X Psychiatry & Neurology, Psychiatry | |
208D00000X General Practice | |
207R00000X Internal Medicine | |
Enumeration Date | 2006-05-15 |
Last Update Date | 2025-09-11 |