| NPI | 1811663198 |
|---|---|
| Doing Business As | DERMATOLOGY AESTHETICS OF NORTHERN KENTUCKY |
| Entity Type | Organization |
| Authorized Contact | SUSAN BUSHELMAN Owner 859-802-4932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2021-08-18 |