| NPI | 1750460036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREL J SNELLING Partner Pa, Csa 859-396-3647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: KY PA313) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |