| NPI | 1659321313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY A SHEARER President 859-746-2880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 363LF0000X Nurse Practitioner, Family | |
| 1041C0700X Social Worker, Clinical | |
| 133V00000X Dietitian, Registered | |
| 363A00000X Physician Assistant | |
| 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: KY 0629801) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 0629801) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2012-04-16 |