| NPI | 1043641483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DUNN EVP Of Health Affairs 502-852-5184 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology |
| 2084N0600X Psychiatry & Neurology Clinical Neurophysiology | |
| 2084V0102X Psychiatry & Neurology Vascular Neurology | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2014-01-16 |