| NPI | 1760569545 |
|---|---|
| Doing Business As | ENT & ALLERGY SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | JESSICA DETRICK COO 859-572-4104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207YP0228X Otolaryngology, Pediatric Otolaryngology |
| 207YX0602X Otolaryngology, Otolaryngic Allergy | |
| 207YX0901X Otolaryngology, Otology & Neurotology | |
| 231H00000X Audiologist | |
| 237700000X Hearing Instrument Specialist | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2019-10-18 |