| NPI | 1619283454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB WILLIAM HARVEY Owner 502-386-9390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 6597) |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2010-08-30 |