NPI | 1982875050 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY TAMARIN VICK Practitioner 859-873-8044 |
Organization Subpart ? | No |
Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: KY 02382) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 02382) |
208D00000X General Practice (Licence: KY 02383) | |
Enumeration Date | 2008-03-17 |
Last Update Date | 2008-03-17 |