| NPI | 1235626417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF PERRY Manager 502-418-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2024-03-12 |