| NPI | 1750785150 |
|---|---|
| Doing Business As | CROSSROAD FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | GERRI MONHOLLEN Credentialing Manager 859-525-1459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3007692) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 1071186) |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2014-10-14 |