| NPI | 1528670981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLI GILLIAM President 859-221-8990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2022-05-24 |