| NPI | 1083712467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KC FRESCOLN CEO 812-473-2642 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology |
| 2080P0202X Pediatrics, Pediatric Cardiology | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-12 |