| NPI | 1407006760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK PELLANT Sole Owner 859-238-7746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: KY TP236) |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2011-12-14 |