| NPI | 1003137605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID C OWEN CEO 502-254-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2010-12-03 |