| NPI | 1962521492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY WALL Owner 859-986-0027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2018-11-27 |