| NPI | 1336528926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE J GOLDSMITH Managing Member 502-640-8349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2015-05-28 |