| NPI | 1235469255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDEEP KAPOOR Owner 502-931-8331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health |
| 363LF0000X Nurse Practitioner Family | |
| 207R00000X Internal Medicine (Licence: KY 35485) | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2024-08-14 |