| NPI | 1124510136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A KING Practice Manager 502-863-0721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: KY 43545) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 43545) |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2018-09-20 |