| NPI | 1619412871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE FORSBACH Nurse Practitioner/Owner 859-948-7915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: TN 000879494) |
| Additional Taxonomies | 261QR1300X Clinic/Center Rural Health |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2018-08-28 |