| NPI | 1194961854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALID A KAHLOON CEO 502-261-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine |
| 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine | |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine | |
| Enumeration Date | 2008-12-31 |
| Last Update Date | 2018-03-17 |