| NPI | 1740213917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEN FOLZ Chief Operating Officer 859-957-1080 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 23828) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2007-10-29 |