| NPI | 1356898373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE P SMITH Director Revenue Cycle 502-244-2261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |