| NPI | 1679714224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH L YELLMAN Administrative Assistant 859-278-0363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 4265P) |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2009-03-11 |