| NPI | 1982795431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA DENNISON Practice Administrator 859-277-6636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 173000000X Legal Medicine |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2017-05-08 |