| NPI | 1679681605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L. CARTER Credentialing Manager 859-737-0904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2013-02-21 |