| NPI | 1811170756 |
|---|---|
| Former Legal Business Name | GERIATRIC HEALTHCARE SERVICES, PLLC |
| Entity Type | Organization |
| Authorized Contact | BRADLEY BRUNS Owner 859-372-0711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2013-08-26 |