| NPI | 1407373277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN HALCOMB Manager 859-661-2334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 3002272) |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2022-07-21 |