| NPI | 1083977276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE ANNE MCNATT Director Of Operations 502-568-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 02573) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY PT-002496) |
| 225X00000X Occupational Therapist (Licence: KY R2277) | |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2012-06-21 |