| NPI | 1083131957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYESH T SHETH Owner 502-244-9859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2019-12-30 |