| NPI | 1558590380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ORIN WITT Owner/Registered Agent 859-367-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: KY 19042) |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2010-08-19 |