| NPI | 1346632478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDEEP SINGH Manager 502-565-4355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3005985) |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2015-02-26 |