NPI | 1699382507 |
---|---|
Entity Type | Organization |
Authorized Contact | FRANK COMBS Managing Partner 859-276-1511 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Additional Taxonomies | 174400000X Specialist |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
363LA2100X Nurse Practitioner, Acute Care | |
363LA2200X Nurse Practitioner, Adult Health | |
Enumeration Date | 2020-09-24 |
Last Update Date | 2024-08-26 |