| NPI | 1154460079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SELMA P WINNER Physician, Member 502-339-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: KY 23855) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2011-03-17 |