| NPI | 1750582607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN STANLEY Owner 859-509-1208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-08-22 |