| NPI | 1093071128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANYEL CLAY VP Revenue Cycle 502-253-4911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2024-07-10 |