| NPI | 1427203454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY J LAGREW Owner 859-277-7920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: KY 20177) |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2008-11-18 |