| NPI | 1558553560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIGH ANN CARTER President/Dermatologist 859-288-5004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: KY 40054) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: KY PA602) |
| 363L00000X Nurse Practitioner (Licence: KY 3688P) | |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2017-02-20 |