| NPI | 1598820037 |
|---|---|
| Doing Business As | KENTUCKY EAR, NOSE & THROAT |
| Entity Type | Organization |
| Authorized Contact | STEPHEN RANDOLPH Practice Administrator 859-278-1114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2012-10-22 |