| NPI | 1265567572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARA ANN PALLARES President 502-454-5252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 30532) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 30532) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 002051P) | |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2024-05-17 |