| NPI | 1255854493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA PETTY Owner 502-314-1050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 246XS1301X Spec/Tech, Cardiovascular, Sonography |
| 2471S1302X Radiologic Technologist, Sonography | |
| 2471V0105X Radiologic Technologist, Vascular Sonography | |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2017-07-19 |