| NPI | 1710664263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA KINMAN CFO 859-239-2424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2023-06-28 |
| Last Update Date | 2023-06-28 |