| NPI | 1588054282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS HOPE VON WIEGEN Owner 859-492-2601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3003823) |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2015-02-02 |