| NPI | 1912066085 |
|---|---|
| Doing Business As | GATEWAY INTERNAL MEDICINE AND PEDIATRIC ASSOCIATES PLLC |
| Entity Type | Organization |
| Authorized Contact | DONNA LYNN RAPER Practice Manager 859-498-7715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0000X Internal Medicine, Adolescent Medicine |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2012-05-25 |