| NPI | 1003544388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY DRURY President 502-418-0744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0000X Registered Nurse Pain Management |
| Additional Taxonomies | 122300000X Dentist |
| 133N00000X Nutritionist | |
| 163WH0200X Registered Nurse Home Health | |
| 163WI0500X Registered Nurse Infusion Therapy | |
| 163WX1500X Registered Nurse Ostomy Care | |
| 171400000X | |
| 208600000X Surgery | |
| 2086S0122X Surgery Plastic and Reconstructive Surgery | |
| 225100000X Physical Therapist | |
| 251F00000X Home Infusion | |
| 261QI0500X Clinic/Center Infusion Therapy | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 208D00000X General Practice | |
| Enumeration Date | 2022-08-12 |
| Last Update Date | 2022-11-06 |