| NPI | 1831408046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES CRAIG STAFFORD Owner/Md 859-373-0215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: KY 24728) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3004939) |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2011-02-22 |