| NPI | 1326411026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEON EVERETT BUTLER Owner 502-435-1739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2024-03-13 |