| NPI | 1356018519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM D HOLLAND President 502-897-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2021-09-21 |