| NPI | 1972007813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL J KING Owner 859-268-1030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KY 43519) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2018-03-23 |