| NPI | 1285917104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKY CHESSER Office Manager 502-354-0292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: KY 25368) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: KY 25368) |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2011-09-27 |