| NPI | 1912274044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN W. RICHARD Owner 859-338-3958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 104100000X Social Worker |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner, Family | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health | |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2023-11-27 |