| NPI | 1326331083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA GREGORY Staff Nurse 859-233-4511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: KY 1096474) |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2011-05-27 |