NPI | 1891107520 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT MARK REEVES President/Owner 859-431-2273 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: KY 4162) |
Enumeration Date | 2014-05-29 |
Last Update Date | 2014-06-05 |