| NPI | 1235469255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDEEP KAPOOR Owner 502-931-8331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 35485) |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2022-07-29 |