| NPI | 1144231465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN T MCCLANAHAN Practice Manager 502-584-2029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2008-09-02 |