| NPI | 1386001196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA KELLY WHITE President 502-403-0007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3002841) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3006986) |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2016-12-15 |