| NPI | 1801113071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESTER S DUPLECHAN Owner 859-341-4842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2014-03-24 |