| NPI | 1336204676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK DELOMAS Owner 859-268-1030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: KY 9813) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: KY PA736) |
| 207L00000X Anesthesiology | |
| 363L00000X Nurse Practitioner (Licence: KY 3002751) | |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2014-08-21 |