| NPI | 1093331274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL RAY WEST Surgeon 502-643-9378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2023-05-03 |