| NPI | 1346371762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LELAND IRWIN President 859-277-8179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2016-09-07 |