| NPI | 1679819353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY SCATENA Staff Provider 859-446-5603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 225100000X Physical Therapist | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2013-08-19 |