| NPI | 1689119570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH SMITH Owner 859-948-0121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-12-30 |
| Last Update Date | 2021-02-11 |