| NPI | 1336388628 |
|---|---|
| Former Legal Business Name | MARK A. ABRAM, MD |
| Entity Type | Organization |
| Authorized Contact | MARK A ABRAMOVICH Physician / Owner 502-348-7648 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 5838P) |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2009-02-11 |