| NPI | 1659542058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFTON SMITH Owner 859-276-1511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2020-08-21 |