| NPI | 1306020979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE W RICKETTS Physician Owner 859-294-0077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 30881) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 30881) |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2007-12-19 |