NPI | 1194405373 |
---|---|
Entity Type | Organization |
Authorized Contact | ELIZABETH WARREN President And Chief Clinical Office 502-417-7386 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207P00000X Emergency Medicine |
207Q00000X Family Medicine | |
208D00000X General Practice | |
Enumeration Date | 2023-07-21 |
Last Update Date | 2025-01-10 |