| NPI | 1073890695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE P SMITH Revenue Cycle Director 502-244-2261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 101145) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207P00000X Emergency Medicine | |
| 207R00000X Internal Medicine | |
| 2083X0100X Preventive Medicine, Occupational Medicine | |
| 363L00000X Nurse Practitioner | |
| 363A00000X Physician Assistant | |
| 225100000X Physical Therapist | |
| 261QU0200X Clinic/Center, Urgent Care | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2016-05-19 |