| NPI | 1164442604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN KARNES Billing Supervisor 502-238-9911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2009-12-09 |