| NPI | 1902072291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN M OSCHWALD CEO 859-543-1577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: KY 30697) |
| Additional Taxonomies | 208600000X Surgery (Licence: KY 35422) |
| 208600000X Surgery (Licence: KY 42220) | |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2013-10-28 |