| NPI | 1336440023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J. NEAL SHARPE Owner 502-412-2995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: KY 24075) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3002826) |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2011-05-18 |