| NPI | 1467175513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARIQ ARAIN Consultant 859-605-2324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208000000X Pediatrics | |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2024-09-19 |