| NPI | 1366636904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY CURTISS Managing Member 502-222-1776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 5257P) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2007-08-28 |