| NPI | 1871818633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL L. NOBLE Owner/Operator 859-987-9898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: KY 40895) |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2010-04-05 |