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 |