| NPI | 1326795196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FADI BACHA Owner 859-312-9674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2022-03-02 |
| Last Update Date | 2023-10-12 |