| NPI | 1396286407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH A ALVARADO Owner 859-744-4997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 31268) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 31268) |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2023-06-09 |