| NPI | 1801372750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CADY BROWN Authorized Official 859-687-6595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2024-03-08 |