| NPI | 1326309857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH ERIC HANSEN President 502-531-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 30498) |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2012-06-20 |