| NPI | 1376188276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA BAKER Ap RN/President 859-619-5488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2019-11-14 |