| NPI | 1396800256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASEM MOHAMED ZINEDDIN Medical Director 859-647-1918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: KY 34848) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2016-09-06 |