| NPI | 1609054766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY H HOLTMAN Owner 502-583-6647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: KY 18578) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2008-01-31 |