| NPI | 1356401376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL BUTCHER Md 859-276-0714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2008-08-29 |