| NPI | 1164752184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANGEETA KAPOOR Physician/Owner 502-543-9124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 38469) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3009429) |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2023-04-24 |