| NPI | 1104123041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW D BAILEY Owner 502-896-8447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: KY 20497) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: KY 3004708) |
| Enumeration Date | 2011-02-11 |
| Last Update Date | 2011-04-13 |