NPI | 1952402091 |
---|---|
Entity Type | Organization |
Authorized Contact | BARNETT LEWIS President 859-277-6102 |
Organization Subpart ? | No |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine |
Additional Taxonomies | 363L00000X Nurse Practitioner |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2006-09-25 |
Last Update Date | 2023-04-21 |