| NPI | 1871647818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES JOHN OTREMBIAK President 859-781-1310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2018-07-31 |