| NPI | 1346101078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE CONLIFFE Owner 502-822-6603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080H0002X Pediatrics, Hospice and Palliative Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2025-11-21 |
| Last Update Date | 2026-01-13 |