| NPI | 1326567181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEACE JESSA Medical Director 859-338-9928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: NC 01737) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: NC 01731) |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2022-07-21 |