| NPI | 1023147097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRANCE DILLON Assistant Secretary 502-596-7220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology |
| 207V00000X Obstetrics & Gynecology | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 208600000X Surgery | |
| 208800000X Urology | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2022-04-25 |