| NPI | 1346281714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH BRODSKY Owner 859-987-8432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: KY 700163) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2007-11-07 |