| NPI | 1467650184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONDA LEIGH HART Owner 859-640-5377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3713P) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 7018) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71001636A) | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2007-12-31 |