| NPI | 1669158218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT HARLEY ODELL President 859-810-2840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| 207LP2900X Anesthesiology, Pain Medicine | |
| Enumeration Date | 2023-06-27 |
| Last Update Date | 2023-07-06 |