| NPI | 1922158294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK J DOUGHERTY President 859-277-4005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363LC0200X Nurse Practitioner, Critical Care Medicine | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2013-06-07 |