| NPI | 1366817769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY BURTON Certified Surgical First Assistant 859-595-6699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2015-12-10 |