| NPI | 1790784825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN VIRGIL BORDERS President 859-278-5926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2017-04-05 |