| NPI | 1295988731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN STOUT TAMME Secretary, Board Of Managers 502-897-8101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2009-12-22 |