| NPI | 1437574613 |
|---|---|
| Doing Business As | BEREA WALK-IN CLINIC |
| Entity Type | Organization |
| Authorized Contact | FADI BACHA President/Owner 859-312-9674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 32006) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: KY PA1103) |
| 363L00000X Nurse Practitioner (Licence: KY 3008382) | |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2014-02-25 |