| NPI | 1306513544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN WHEATLEY President, Retail Segment 502-580-4209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2021-08-25 |