| NPI | 1285707885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN KELLER STADIG Administrator 859-967-2055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2008-05-05 |