| NPI | 1003869868 |
|---|---|
| Doing Business As | AMBULATORY INTERNAL MEDICINE/UPA |
| Entity Type | Organization |
| Authorized Contact | BELINDA S LOVE Executive Director 502-562-5765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease |
| 207R00000X Internal Medicine | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RC0200X Internal Medicine, Critical Care Medicine | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-08-22 |