| NPI | 1932631629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE ALAN OWENS Owner,Administrator 859-797-1112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 1053225) |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2021-03-14 |