| NPI | 1285813469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA M APPLEGATE Practice Administrator 502-645-8539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: KY 39795) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2008-04-30 |