| NPI | 1427677160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICIA RICHARDSON Nurse Practitioner/Co Owner 502-233-8048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2023-03-07 |