| NPI | 1962647297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANSOOR AHMED Owner 859-623-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2008-12-16 |
| Last Update Date | 2022-06-27 |