| NPI | 1134356124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON J SHY Billing Manager 502-454-7766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2009-06-17 |