| NPI | 1457076606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT ALAN SEITZ Owner 859-355-5253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2022-10-10 |
| Last Update Date | 2023-01-30 |