| NPI | 1235757709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN SMITH Manager 502-244-9859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2023-08-23 |