| NPI | 1306103205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH A MILUM Md/Owner 502-930-2874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 30409) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2025-09-08 |