| NPI | 1912274044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN W. RICHARD Owner 859-338-3958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2025-01-20 |