| NPI | 1952720880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED CHRISTIAN NIMTZ Managing Partner 859-420-3256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: KY 46515) |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2018-10-17 |