| NPI | 1104102268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD WES BREEDING Managing Partner 502-681-4741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2019-09-05 |