| NPI | 1861983199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J HERBST Owner 859-757-8262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 47852) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3008577) | |
| 213E00000X Podiatrist (Licence: KY 00353) | |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2018-05-22 |