| NPI | 1700879491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK GERAK Chief Operation Officer 859-341-3015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2010-10-07 |