| NPI | 1154494854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERY MCINTOSH Practice Manager 502-633-0094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2010-07-13 |