| NPI | 1093338527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANYEL D CLAY Vice President Revenue Cycle 502-253-4911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2085P0229X Radiology, Pediatric Radiology | |
| 213E00000X Podiatrist | |
| 225100000X Physical Therapist | |
| 231H00000X Audiologist | |
| 261Q00000X Clinic/Center | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP2300X Clinic/Center, Primary Care | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2024-07-10 |