| NPI | 1386934354 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | KARLA BLAIR Faculty Recruitment Coordinator 859-323-5962  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: KY 3006742)  | 
| Enumeration Date | 2011-04-12 | 
| Last Update Date | 2011-04-12 |