| NPI | 1912207135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHELLE FRANKS Manager 859-746-2444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2011-06-08 |