| NPI | 1558677377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES E MILLER Owner 859-624-0026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: KY 22038) |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2010-08-31 |