| NPI | 1093381485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS S HIGGINS President 502-894-8441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2022-04-12 |