| NPI | 1851486906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA WHALEN Practice Manager 859-234-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2011-01-04 |