| NPI | 1043641285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONI GANZEL VP For Academic Medical Affairs 502-852-5555 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 101YM0800X Counselor Mental Health | |
| 103G00000X Clinical Neuropsychologist | |
| 103TC1900X Psychologist Counseling | |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2025-01-16 |