| NPI | 1376520528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY E LILLY Director Of Finance 502-636-7005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2007-10-11 |