| NPI | 1952354813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH A ALVARADO Owner 859-744-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2012-02-21 |