| NPI | 1336572601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE P SMITH Technology And Revenue Cycle Direct 502-238-2801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2015-02-05 |