| NPI | 1902991169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON BOWEN President 859-268-1030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2013-05-21 |