| NPI | 1225412265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNETTA TRAYLOR AO 502-596-6063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 207P00000X Emergency Medicine | |
| 207R00000X Internal Medicine | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207W00000X Ophthalmology | |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 208800000X Urology | |
| 225100000X Physical Therapist | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2025-06-26 |