| NPI | 1063597235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS W BENNINGER Solo Member Owner 502-897-2531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: KY 22073) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2010-03-18 |