NPI | 1912274044 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN W. RICHARD Owner 859-338-3958 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363A00000X Physician Assistant |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2011-11-17 |
Last Update Date | 2024-07-22 |