| NPI | 1306845813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN C. BECKMAN Shareholder 859-576-5504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2024-03-18 |