| NPI | 1740989052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY ESTES Family Nurse Practitioner 859-954-2119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2023-02-24 |
| Last Update Date | 2023-03-31 |