| NPI | 1679523559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICK DEDMAN President 859-734-5173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 26660) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 20896) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 6549P) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2014-09-19 |