| NPI | 1831822386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE PIERCE Owner 859-302-6752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2022-07-01 |
| Last Update Date | 2025-09-17 |