| NPI | 1386783868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN K TOADVINE CEO 859-235-3503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: KY 100167) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 363A00000X Physician Assistant (Licence: KY 100167) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 100167) | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2023-05-24 |