| NPI | 1730709601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SEGRAVES CEO 859-544-2421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 208100000X Physical Medicine & Rehabilitation | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2023-04-04 |