| NPI | 1023207735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY CLEVENGER Credentialing 502-523-6695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: KY 1051070) |
| 367A00000X Advanced Practice Midwife | |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2020-05-04 |