| NPI | 1518422047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CEDRIC CRAIG President 859-608-7839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2022-09-06 |