| NPI | 1316313406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA WITEK President 502-494-1066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3007685) |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2015-08-12 |