| NPI | 1760625818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN B WEST Owner 859-987-3710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 42507) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 42507) |
| Enumeration Date | 2009-04-18 |
| Last Update Date | 2009-11-03 |