Organization · Type 2 NPI
Grant County Wellness Center LLC
Pain Clinic/Center · Dry Ridge, KY
NPI number
1164713103
Active
Practice location
99 S. Main St.
Dry Ridge, KY 41035
Fax (859) 823-0530
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology Physician | 207L00000X | 26944 |
| Pain Clinic/Center Primary | 261QP3300X | 0788501.06 (KY) |
Pain Clinic/Center: Definition to come...
About NPI 1164713103
Grant County Wellness Center LLC's National Provider Identifier is 1164713103, issued on Apr 25, 2011. The primary taxonomy on file is Pain Clinic/Center (261QP3300X), and the practice location is in Dry Ridge, KY. The record was last updated on Sep 14, 2011.