NPI | 1174394498 |
---|---|
Entity Type | Organization |
Authorized Contact | LYNN FIELDHOUSE Chief Legal Officer 502-456-6200 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
207RH0002X Internal Medicine, Hospice and Palliative Medicine | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2024-01-15 |
Last Update Date | 2024-05-06 |