| NPI | 1831310390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYE FENSTERMAKER Practice Manager 859-276-1511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-27 |