| NPI | 1124037114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY D MCMILLIN President 502-777-9961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: KY 18435) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3003616) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: KY 23946) | |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2018-05-16 |