| NPI | 1932149622 |
|---|---|
| Doing Business As | PARAGON FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | BRITTANY UNDERWOOD Credentialing Agent 859-303-8746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics (Licence: KY 16524) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: KY 17681) | |
| 261QP2300X Clinic/Center, Primary Care (Licence: KY 700122) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2021-09-02 |