| NPI | 1114213394 |
|---|---|
| Other Name | 4834 KH NORTHLAND |
| Entity Type | Organization |
| Authorized Contact | MELISSA POCKRUS Sr Reg Dir Pat Acct Hd, Mid South D 502-596-7358 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist |
| Enumeration Date | 2011-06-25 |
| Last Update Date | 2020-05-28 |