| NPI | 1740451061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ANTHONY BOADA Owner 502-587-0394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: KY 32419) |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2008-03-13 |