| NPI | 1457012205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY DENNIS Billing/Credentialing Manager 859-518-8817 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| 261QG0250X Clinic/Center, Genetics | |
| 261QP2300X Clinic/Center, Primary Care | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2023-05-18 |