| NPI | 1811231954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT KLICKOVICH Owner 859-282-2024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: KY 41232) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2015-03-03 |