| NPI | 1699437673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM WATTS President & CEO 859-255-0075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-10-07 |
| Last Update Date | 2021-10-07 |